Individual
MS. HERMINIA HILO SUBARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LD
Contact information
Practice address
1205 N 145TH ST, SEATTLE, WA 98133-6202
(206) 363-9223
(206) 363-6550
Mailing address
1205 N 145TH ST, SEATTLE, WA 98133-6202
(206) 363-9223
(206) 363-6550
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN-11
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5020599
—
WA
Enumeration date
10/05/2006
Last updated
07/09/2007
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